Porter, Mary Vivian

Porter, Mary Vivian is an individual health care provider with primary practice located at 6021 Morriss Road Suite 110B, Flower Mound TX 75028-3764. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Porter, Mary Vivian can be contacted via phone (972) 420-8834.

Contact Information

Primary practice address
6021 Morriss Road Suite 110B Flower Mound TX 75028-3764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 08339 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4222 Texas

Profile Details

NPI number 1700924016
LBN Legal business name Porter, Mary Vivian
Credentials LCSW LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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